health and family welfare statistics in india 2013

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1 health and family welfare statistics in india 2013 Statistics Divisions Ministry of Health and Family Welfare Government of India

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4 CONTRIBUTORS Dr. Rattan Chand - Chief Director (Statistics) Biswajit Das - Director (Statistics) D.P. Awasthi - Programmer Rakesh Bisht - DEO Gr. B Comments/suggestions may be sent to: Statistics Division MINISTRY OF HEALTH AND FAMILY WELFARE Nirman Bhawan, Maulana Azad Road, New Delhi (INDIA) Telephone : , , , crknair@nic.in, cdstat@nic.in, jdstat2-mohfw@nic.in, dp.awasthi@nic.in Also available at / iv

5 Abbreviations AIDS Acquired Immunodeficiency Syndrome AHS Annual Health Survey ANC Antenatal Care ANM Auxiliary Nurse Mid-wife ANC Ante Natal Care APL Above Poverty Line ARI Acute Respiratory Infection ASHA Accredited Social Health Activist AWW Anganwadi Worker AYUSH Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy BCG Bacillus Calmette Guérin BE Budget Estimates BMS Basic Minimum Services Programme BPL Below Poverty Line CBR Crude Birth Rate CDR Crude Death Rate CES Coverage Evaluation Survey CHC Community Health Centre CNAA Community Needs Assessment Approach CPR Contraceptive Prevalence Rate CPR Couples Protection Rate DLHS District Level Household Survey DPT Diphtheria, Pertussis and Tetanus DT Diphtheria and Tetanus EAG Empowered Action Group ECR Eligible Couple Register EmOC Emergency Obstetric Care FP Family Planning FRUs First Referral Units HIV Human Immunodeficiency Virus HMIS Health Management Information Systems ICDS Integrated Child Development Services IDSP Integrated Disease Surveillance Programme IDDCP Iodine Deficience Disorder Control Programme IIPS International Institute for Population Sciences IPHS Indian Public Health Standards IEC Information, Education and Communication IFA Iron and Folic Acid IMR Infant Mortality Rate IPHS Indian Public Health Standards IUCD Intra Uterine Contraceptive Device IUD Intra Uterine Device JSK Jansankhya Sthirtha Kosh JSY Janani Suraksha Yojana LHV Lady Health Visitor MCTS Mother and Child Tracking System M&E Monitoring and Evaluation MIES Monitoring, Information & Evaluation System MIS Management Information System v

6 Health and Family Welfare Statistics in India 2013 MMR MNP MoH&FW MPW-F/M MTP NACP NACO NCP NFHS NGO NLEP NIHFW NNMR NPCB NPP NPSF NRHM NHM NSV NVBDCP NUHM Obs/gyn OP OPV ORS PC&PNDT PHC PHN PIP PMG PMU PNC PPP PRCs RCH RHS RKS RGI RNTCP RTI SBA SC SC/ST SRS STDs STI TBAs TFR TT UIP Maternal Mortality Ratio Minimum Needs Programme Ministry of Health and Family Welfare Multi Purpose Worker Female / Male Medical Termination of Pregnancy National AIDS Control Program National AIDS Control Organisation National Commission on Population National Family Health Survey Non-Governmental Organization National Leprosy Eradication Programme National Institute of Health and Family Welfare Neonatal Mortality Rate National Programme for Control of Blindness National Population Policy National Population Stabilisation Fund National Rural Health Mission National Health Mission No Scalpel Vasectomy National Vector Borne Disease Control Programme National Urban Health Mission Obstetrics and Gynaecology Oral Pills Oral Polio Vaccine Oral Rehydration Solution Pre-conception & Pre-natal Diagnostic Techniques Primary Health Centre Public Health Nurse Programme Implementation Plan Programme Management Group Programme Management Unit Post Natal Care Public Private Partnership Population Research Centres Reproductive and Child Health Rapid Household Survey Rogi Kalyan Samiti, Registrar General of India Revised National Tuberculosis Control Programme Reproductive Tract Infection Skilled Birth Attendants Sub Centre Scheduled- Caste / Scheduled- Tribe Sample Registration System Sexually Transmitted Diseases Sexually Transmitted Infections Traditional Birth Attendants Total Fertility Rate Tetanus Toxoid Universal Immunization Program vi

7 CONTENTS Executive Summary and overview of Health and Family Welfare Programme in India (Hindi & English version) SECTION A: Population & Vital Statistics TABLE TITLE NO. Page No Population 79 A.1 Population Growth, Crude Birth and Death Rates & Sex-ratio : Census A.1.1 Census of India Number of administrative units, 82 districts, sub-districts, towns, villages A.2 Distribution of Population, Sex Ratio, Density and Growth Rate of Population - Census, & 2011(Provisional) A.3 Rural and Urban Composition of Population: Census-2001, 2011 (Provisional) 85 A.4 Total Population, Population of Scheduled Castes and Scheduled Tribes and their proportions 87 to the total population - Census 2011 A.5 State-wise information on Slum Population in India - Census A.6 Child Population in the age-group 0-6 by sex - Census 2001 & A.7 Population aged 7 years and above - Census 2011 (Provisional) 91 A.8 Literates and Literacy Rates by Sex - Census 2001 & A.9 Sex ratio of total population and child population in the age-group 0-6 and 7+ years : 94 Census 2001 & 2011 A.10 Statewise percent distribution of population by age-group - Census A.11 Percentage of population in selected age groups, adolescent, young and adult - India, 97 Census A.12 Projected population characteristics as on 1st March: , India 98 A.13 Proportion of Population in Age-groups 0-4 and 5-9 years, Child Women Ratio and 99 Dependency Ratio, Census 2001 A.14 Number of married couples (with wife aged between years), Census All India 100 A.15 Percentage distribution of married couples (with wife aged between years) by age 101 group : Censuses 1961 to 2001 A.16 Number of married females in Rural areas by age, Census A.17 Number of married females in Urban areas by age, Census A.18 Estimated number of eligible couples per 1000 population - Census 1991 & A.19 Expectation of life at birth, to All India 105 A.20 Expectation of life at birth by sex and residence, India and bigger States, A.21 Projected levels of the expectation of life at birth (eoo), A.22 Mean age at effective marriage (Female), India and Major States, SRS 2006 to A.23 Mean age at effective marriage of females, by residence - India and Major States, SRS to 2012 A.24 Percentage of Females by Age at Effective Marriage by Residence, India and Major States, to 2012 Fertility A.25 Time series data on CBR & TFR, SRS 1971 to India 119 vii

8 A.26 Crude Birth in Rural and Urban Areas, SRS A.27 Crude Birth Rates (CBR) in different States/Union territories, SRS 1981,1991, 2001, to 2012 A.28 Total Fertility Rate (TFR) by residence, SRS A.29 Total Fertility Rate (TFR) of smaller States/Uts by residence, SRS A.30 Trends in Total Fertility Rate by residence, India and bigger States, and A.31 Fertility Indicators, SRS All India 130 A.32 Age Specific Fertility Rates (ASFR*) and Age Specific Marital Fertility Rates (ASMFR*) : SRS, India A.33 Fertility indicators for major States - SRS 2006 to A.34 Estimated Age Specific Fertility Rates by major States, SRS 2006 to A.35 Age Specific Fertility Rates by Educational Level of Women : SRS All India 145 A.36 Percentage Distribution of Births By Order of Births By Residence, SRS 2006 to India 150 A.37 Percentage distribution of live births by order of birth, India and Major States, SRS 2006 to A.38 Percentage of ever married women (aged 50 and above) with no live birth - Census A.39 Percent distribution of live births by type of medical attention received by the mother at 156 delivery of residence, SRS 2006 to All India A.40 Sex ratio of child (age group 0-4) India and bigger States, SRS to Mortality A.41 Time series data on Crude Death Rate (CDR) and Infant Mortality Rate (IMR), SRS 1971 to India A.41.1 Crude Death Rates (CDR) in different States/UTs, SRS 1981,1991, 2001, 2005 to A.42 Estimated Age-Specific Death Rates by Sex, SRS : Total, Rural & Urban 163 A.43 Infant Mortality Rate by Sex, SRS 1980 to All India 164 A.44 Infant Mortality Rates by sex, SRS 2001 to India and Major States 166 A.45 Mortality Indicators by residence, SRS 1980 to All India 169 A.46 Infant Mortality Rate by residence, 2006 to All States/Uts 172 A.47 Trends in Infant Mortality by residence, India and bigger States, and A.48 Child Mortality Rate by residence, 2006 to A.49 Neo-natal Mortality Rates by residence, SRS A.50 Trends in Neo-natal Mortality Rate (NNMR) by residence, India and bigger States, SRS and A.51 Early Neo-natal Mortality Rates by residence, SRS A.52 Trends in Early Neo-natal Mortality Rate (NNMR) by residence, India and bigger States, and A.53 Peri-natal Mortality Rates by residence, SRS India and bigger States 180 A.54 Still Birth Rates by residence, SRS India and bigger States 181 A.55 Trends in Under -five Mortality Rates (U5MR) by residence -SRS 2008 to India and bigger States 182 viii

9 A.56 Maternal Mortality Ratio, SRS to India and States 183 A.57 Percentage of death by causes related to child birth and pregnancy (Maternal) SRS ,1990,1995, 1997 & ALL INDIA (RURAL) A.57.1 Causes of Materrnal Deaths (%) - Special Survey of Deaths (SRS) 184 A.58 Percentage distribution of deaths due to specific causes under the major group Causes 185 Peculiar to Infancy for selected States A.59 Top 10 causes of death in India (age below 1 as %): ; Rural and Urban Area 187 A.60 Top 10 causes of death in India (age below 1 as %): ; EAG States & Assam and Other States 188 SECTION B : Family Planning Performance Statistics/HMIS B.1 Family Planning Acceptors by methods, to All India 191 B.2 Sex-wise break-up of sterilisations performed, to All India 193 B.3 Year-wise achievement of targets of family planning methods,, to All 194 India B.4 State-wise achievements in respect of Sterilisations, to B.5 State-wise achievements in respect of IUD Insertions, to B.6 State-wise achievements in respect of Condom Users, to B.7 State-wise achievements in respect of Oral Pill Users, to B.8 State-wise Vasectomies, Tubectomies and share of Tubectomy in total Sterilisations, to B.9 State-wise number of laparoscopic tubectomies alongwith total number of tubectomy 201 operations performed, to B.10 State-wise number of mini-lap tubectomies alongwith total number of tubectomy 203 operations performed B.11 Number of Condom pieces and Oral Pill Cycles distributed, to All India 205 B.12 State-wise distribution of condom pieces, to B.13 State-wise number of Oral Pill centres functioning and distribution of Oral Pill Cycles, to B.14 Year-wise Medical Termination of Pregnancies performed - All India 208 B.15 State-wise Medical Termination of Pregnancies performed 209 SECTION C :Maternal Health Performance Statistics/HMIS C.1 Year-wise Achievement of Targets/Need Assessed of Maternal Health Activities, to C.2 State-wise achievement of need assessed - Tetanus Immunisation for Expectant Mothers 214 (II+Booster), to C.3 State-wise achievements of need assessed - Prophylaxis against nutritional anaemia among 216 women (Completed), to C.4 State-wise number of pregnant women received 3 ANC Checkups, to C.5 State-wise number of women having Hb level < 11 (tested cases), to C.6 State-wise information relating to Maternal Health (ANC, Institutional, Home Deliveries) to C.7 State-wise number of newborn visited within 24 hrs of home delivery, to ix

10 C.8 State-wise number of women discharged under 48 hrs of delivery from public facility, to C.9 Number of women receiving post partum check-up within 48 hours after delivery, to C.10 State-wise number of women given TT2/Booster, to C.11 Statewise number of Still Births, to SECTION D : CHILD HEALTH Performance Statistics/HMIS D.1 Year-wise Achievements of Targets/Need Assessed of Child Health Activities, to D.2 State-wise achievement of need assessed - DPT ( to ) 234 D.2.1 State-wise achievement of need assessed - Polio ( to ) 236 D.2.2 State-wise achievement of need assessed - BCG( to ) 238 D.2.3 State-wise achievement of need assessed - Measles ( to ) 240 D.2.4 State-wise achievement of need assessed - DT5/DPT 5 ( to ) 242 D.2.5 State-wise achievement of need assessed - TT 10 years ( to ) 244 D.2.6 State-wise achievement of need assessed - TT 16 years ( to ) 246 D.2.7 State-wise achievement of need assessed - Vit. A Ist Dose ( to ) 248 D.2.8 State-wise achievement of need assessed - Vit. A - 5th dose ( to ) 250 D.2.9 State-wise achievement of need assessed - Vit. A 9th dose ( to ) 252 D.3 State-wise number of Newborns breastfed within 1 hour, to D.4 State-wise number of newborns weighed at Birth, to D.5 State-wise number of newborns having weight less than 2.5 Kgs, to SECTION E : Surveys findings on Health & Family Welfare Key Indicators Marriage and Fertility (by residence) E.1 Age at marriage by state and residence -NFHS III, DLHS III 259 E.2 Birth Order 3 and above - NFHS III, DLHS III 260 Family Planning (by residence) E.3 Current Use of Contraceptives Methods by currently married women 261 (%)-NFHS III ( ) E.3.1 Current Use of Contraceptives Methods by currently married women 262 (%) - DLHS III ( ) E.4 Unmet need for family planning (%) - NFHS III ( ) 265 E.4.1 Unmet need for family planning (%) - DLHS III ( ) 266 Maternal Health (by residence) E.5 Any ante-natal check-up - NFHS III, DLHS III 267 E.6 Atleast 3 ante-natal check-up - NFHS 3, DLHS 3, CES 268 E.7 Mothers who consumed IFA for at least 90 days - NFHS 3, DLHS 3, CES 269 E.8 Two or more TT injections during pregnancy- NFHS 3, DLHS 3, CES 270 E.9 Institutional Delivery - NFHS 3, DLHS 3, CES 271 E.10 Safe Delivery - Births assisted by Doctor/Nurse/LHV/ANM/Other Health Personnel - NFHS 3, DLHS 3, CES 272 x

11 E.11 Nutritional status of ever-married women (age 15-49) who body mass index is below normal (%)-NFHS III ( ) E.12 Percentage of women age and pregnant women with anaemia (%)-NFHS III ( ) Child Health (by residence) E.13 Vaccinations (children aged months) % - NFHS 3 ( ) 275 E.13.1 Vaccinations (children aged months) % - DLHS III ( ) 276 E.13.2 Vaccinations (children aged months) % - CES(2009) 277 E.13.3 Full Immunisation (children aged months) by residence % (NFHS-III and DLHS III) 278 E.14 Micronutrient intake - Percentage given Vitamin-A Supplements - NFHS III E.14.1 Percentage of children aged month received Vitamin-A and Hepatitis-B Injection - DLHS III E.14.2 Percentage of children aged month who received Hepatitis-B vaccine - CES E.15 Nutritional Status of Children (%) - NFHS-III ( ) 282 E.16 Anaemia among children(6-59 months) by haemoglobin level(%) - NFHS III ( ) 283 E.17 Children who started breast feeding within one hour of birth 284 E.18 Treatment of Acute Respiratory Infection (ARI) % - NFHS III E.18.1 Treatment of Acute Respiratory Infection (ARI) % - DLHS III E.19 Percentage of children who suffered from diarrhoea and sought advice/treatment - NFHS III ( ) E.19.1 Percentage of children who suffered from diarrhoea and sought advice/treatment - DLHS III ( ) E.20 Percentage of children aged under 3 years received check-up - DLHS III ( ) 289 Other Health Key Indicators (by residence) E.21 HIV prevalence by state (%) - NFHS-III ( ) 290 E.22 Number of persons per 100,000 usual household residents suffering from any Tuberculosis - NFHS-III ( ) E.23 Number of women and men age per 100,000 who reported that they have Diabetes - NFHS III( ) E.24 Number of women and men age per 100,000 who reported that they have asthma - NFHS III( ) E.25 Number of women and men age per 100,000 who reported that they have Goitre or other thyroid disorder- NFHS III( ) E.26 Source of Health Care : Percentage distribution of households by the source of health care that household members generally use when they get sick- NFHS III( ) E.27 Percentage of households that do not generally use government health facilities when they are sick and the percentage giving specific reasons for not utilizing a government health facility according to state, India-NFHS 3 ( ) 296 SECTION F : ANNUAL HEALTH SURVEY AND CONCURRENT EVALUATION OF NRHM F.1 Key Indicators from Annual Health Survey , and F.2 Comparison of indicators from SRS, 2009 to 2012 & AHS, to xi

12 F.3 Concurrent Evaluation of NRHM, 2009 India 353 SECTION G : INFRASTRUCTURE G.1 Number of Sub-Centres, PHCs & CHCs Functioning as on March,2005 and G.2 Key Indicators DLHS-3 and Facility Survey, G.3 Health Worker (Female)/ANM at Sub-Centre and PHC as on March, 2005 and G.4 Doctors at Primary Health Centres as on March, 2005 and G.5 Total specialists at CHCs as on March, 2005 and G.6 Number of Sub-centres without ANMs or/and Health Workers (M) as on March, 2005 and G.7 Number of PHCs with Doctors and without Doctor/Lab technician/pharmacist as on March, 2013 G.8 State/UT wise Number of Govt. Hospitals & Beds in Rural & Urban Areas (Including CHCs) In India G.9 State-wise details of Medical Colleges & MBBS Seats 377 G.10 Distribution of households by availability of drinking water facility - Census G.11 Distribution of households by type of latrine facility - Census SECTION H : FUNDING H.1 Year-wise BE, RE and Actual Expenditure relating to Department of Family Welfare/deptt. of Health & Family Welfare, to H.2 BE, RE and actual Expenditure since Tenth-Plan, to H.3 Scheme-wise Expenditure , Budget Estimates , Revised Estimates and Expenditure upto 8th March, 2013 H.4 Estimates of Foreign Grants concerned the Deptt. of Health & Family Welfare 391 H.5 Public and Private expenditure in Health by States & Union territories, ANNEXURE Annex-1 Demographic Indicators 394 Annex-2 Demographic Estimates for selected countries, State of World Children- UNICEF Annex-3 List of 184 High Priority Districts 397 Annex-4 Final District-wise Rural/Urban Population by sex 2011 Census 403 Annex-5 Definitions xii

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